| NPI | 1992852909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 40762) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 40762) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01074120A) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2021-12-21 |