| NPI | 1306094016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC MD35352) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01070938A) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2022-07-20 |