| NPI | 1730160680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 19434) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01028414A) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2017-09-22 |