| NPI | 1194914812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01081382A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 264649) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-10-30 |