| NPI | 1639337397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 60711-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 55021) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01069074a) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2013-12-05 |