| NPI | 1194226647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02007819A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH Student) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-09-05 |