| NPI | 1275549156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2020-0982) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01054190A) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-01-29 |