| NPI | 1942279807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD460512) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01061153A) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101244584) | |
| 207X00000X Orthopaedic Surgery (Licence: TN 46817) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-04-07 |