| NPI | 1881678316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.084997) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01065845A) |
| 207X00000X Orthopaedic Surgery (Licence: GA 39661) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-10-29 |