| NPI | 1497196554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01088692A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 292954) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2025-09-24 |