| NPI | 1922636174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-20688) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2025012594) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-08-04 |