| 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 |