| NPI | 1912935461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2009035423) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02002776A) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-10-25 |