| NPI | 1205047404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: UT 13002862-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01060822A) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 41302) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2023-04-13 |