| NPI | 1174013544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101268611) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01093234A) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2025-10-07 |