| NPI | 1790768695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35 069005) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01067046A) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-03-22 |