| NPI | 1740695212 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01094489A) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.135440) | 
| Enumeration Date | 2014-06-24 | 
| Last Update Date | 2025-02-27 |