| NPI | 1174657910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301071554) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01055991A) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-04-20 |