| NPI | 1548277387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00112) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01031536A) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-03-17 |