| NPI | 1174519458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01048624A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 77087) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2025-01-20 |