| NPI | 1811128416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 65384) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01075391A) |
| 207X00000X Orthopaedic Surgery (Licence: NE 6172) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2019-10-21 |