| NPI | 1366650400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301079838) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01063483A) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-07-06 |