| NPI | 1851765671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01095799A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.150051) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-08-15 |