| NPI | 1679596720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 36777) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01061712A) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-12-12 |