| NPI | 1962769257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 51427) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01078277A) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-03-27 |