| NPI | 1821103060 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01072062A)  | 
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036-100193)  | 
| Enumeration Date | 2006-08-20 | 
| Last Update Date | 2020-11-17 |