| NPI | 1922528496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-16726) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2022013671) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-10-04 |