| NPI | 1386057115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01084158A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206752) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-06-30 |