| NPI | 1407207251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01085669A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 7757) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-08-06 |