| NPI | 1497980189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01073732A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME149168) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2025-01-14 |