| NPI | 1710115639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01075499A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0058498) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-09-12 |