| NPI | 1891108536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01084400A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME141742) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017805A) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2021-12-16 |