| NPI | 1568143766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY R6968) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 11024558A) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-09-14 |