| NPI | 1609874726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 058902) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01057724A) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2021-09-02 |