NPI | 1912127622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02003670A) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016139) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2021-01-14 |