| NPI | 1730448663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02005040A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101019740) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2018006629) | |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2022-02-21 |