| NPI | 1538698220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 11019239A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 58717) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2026-05-14 |