| NPI | 1174524839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01062952A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI EO073282) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2021-02-03 |