| NPI | 1881984961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 19069) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 56781) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-07-16 |