| NPI | 1932113487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 49612) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01063463A) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-01-23 |