| NPI | 1578676920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 44806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01062383A) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-04-24 |