| NPI | 1205451812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 82445) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01096378A) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2026-08-04 |