| NPI | 1689646663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01038569A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61420345) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.096825) | |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0071085) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-06-06 |