| NPI | 1750945697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 1022620) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1022620) |
| 207X00000X Orthopaedic Surgery (Licence: HI MDR-7701) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2026-05-26 |