| NPI | 1912225483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T3426) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01079069A) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2021-12-15 |