| NPI | 1255719191 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01086009A) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0063295) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-12 | 
| Last Update Date | 2022-08-12 |