| NPI | 1366430803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME112107) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01053671A) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-02-20 |