| NPI | 1174684229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-17614) | 
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AR E-17614) | 
| 207X00000X Orthopaedic Surgery (Licence: MI 5101021236) | |
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2024-03-06 |