| NPI | 1659627149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01074356A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 251687) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-01-14 |