| NPI | 1386902096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 56221) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01082786a) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2023-04-18 |