| NPI | 1972575264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-2526) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E2526) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2025-07-26 |