| NPI | 1265723266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 56936) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01076555A) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2021-05-30 |