| NPI | 1578760153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101248426) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01079936A) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-03-31 |