| NPI | 1265537252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 16642) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 17060) |
| 207X00000X Orthopaedic Surgery (Licence: GA 12547) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 4459) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01042078A) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-09-07 |