| NPI | 1417338773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-14461) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2020011277) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-09-02 |