| NPI | 1508838319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR C-4298) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR 207X00000X) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-08 |