| NPI | 1962713362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 50001) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 50001) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01082756A) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01082756A) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-12-21 |