| NPI | 1306163779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AR E-10568) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR 208600000X) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-12-03 |