| NPI | 1942628730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01083660A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-065122) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-05-12 |