| NPI | 1245487198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-6886) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-6886) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2014-05-28 |