| NPI | 1417119918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q7908) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01076443A) |
| 207X00000X Orthopaedic Surgery (Licence: MA L-235563) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036128840) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-09-20 |