| NPI | 1588168611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 60002) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01094201A) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2026-04-30 |