| NPI | 1902896186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01051801) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 32010) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2009-11-10 |