| NPI | 1871530386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-11113) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301083933) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-03-22 |