| NPI | 1467716225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02005363A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R2019) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101019939) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-12-03 |