| NPI | 1942572797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01086145A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A152848) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A152848) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2022-09-02 |