| NPI | 1063405371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01060255A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.099986) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-11-27 |