| NPI | 1558435644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A139718) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01065216A) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-03-17 |