| NPI | 1184625923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35091251) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01034987A) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-09-06 |