| NPI | 1649534256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02005325A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101019928) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-10-22 |