| NPI | 1629042197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 24102) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01035377A) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01035377A) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-01-11 |