| NPI | 1285922328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101027647) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25IB12865600) |
| 207X00000X Orthopaedic Surgery (Licence: IN 02004984A) | |
| 207X00000X Orthopaedic Surgery (Licence: WI 13255-321) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2026-02-18 |