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 |