| NPI | 1083076459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01085959A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY R4028) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-07-15 |