| 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 | 2026-08-04 |