| NPI | 1285835850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-5604) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 21224) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-01-11 |