| NPI | 1750721031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 87761) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02005308A) |
| 208600000X Surgery (Licence: IN 02005308A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-08-02 |