| NPI | 1528412731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX V8710) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01079366A) |
| 207X00000X Orthopaedic Surgery (Licence: WI 67816) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX V8710) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2025-08-14 |