| NPI | 1356635932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01078585A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301098704) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098704) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-11-13 |