| NPI | 1245414838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02003566A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 23149) |
| 207X00000X Orthopaedic Surgery (Licence: IL Temporary-Resident) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2023-04-13 |