| NPI | 1720079072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A86062) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01067336A) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A86062) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2015-11-16 |