| NPI | 1184902447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01077317A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101264994) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-08-16 |