| NPI | 1053759092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01082111A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2018-00463) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-01-04 |