| NPI | 1811486566 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 71585) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-16621) | 
| Enumeration Date | 2018-05-08 | 
| Last Update Date | 2025-08-22 |