| NPI | 1346363819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01037561) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-05-3520-S) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-11-05 |