| NPI | 1962646414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101018853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS15613) |
| 207X00000X Orthopaedic Surgery (Licence: IN 02003531A) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2019-02-08 |