| NPI | 1932184058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 51860) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01042953A) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-01-03 |