| NPI | 1760826853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 58894) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01080525A) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2024-01-15 |