| NPI | 1770708729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.091148) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01066628A) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-07-29 |