| NPI | 1295803567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101255125) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01058188A) |
| 207X00000X Orthopaedic Surgery (Licence: CA A119281) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2023-05-03 |