| NPI | 1679524805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 10090) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01037487A) |
| 207X00000X Orthopaedic Surgery (Licence: IA 41335) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-04-17 |