| NPI | 1336234616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2018-0765) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01048144) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-02-03 |