| NPI | 1154555126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R5728) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02003799A) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2018-07-10 |