| NPI | 1215468079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01089735A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207X00000X Orthopaedic Surgery (Licence: AZ 65506) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-12-11 |