| NPI | 1679951800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01086173A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.139064) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-11-07 |