| NPI | 1669903860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02007150A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101022952) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 009470) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-07-28 |