| NPI | 1790053841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL MFC1741) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01092437A) |
| 207X00000X Orthopaedic Surgery (Licence: ZZ 14308) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2024-02-09 |