| NPI | 1801327317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-16614) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301505876) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2023-08-07 |