| NPI | 1184798142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01046366A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 29759) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-05-20 |