| NPI | 1467466573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 58762) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01057459A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-13 |