| NPI | 1164860425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01080681A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10045742) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2018-07-05 |