| NPI | 1396368197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 242568) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01088483A) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2026-08-20 |