| NPI | 1902023278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 44699) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 66807) |
| 207X00000X Orthopaedic Surgery (Licence: MS 30677) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01069818A) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-11-22 |