| NPI | 1851596431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-16974) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-232764) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-05-14 |