| NPI | 1184656563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M8394) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01052109A) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.093113) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-02-16 |