| NPI | 1942294236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 34804) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 34804) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01051584A) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2017-05-16 |