| NPI | 1578705000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A96292) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01066586A) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-10-29 |