| NPI | 1942829601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02008342A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX W4088) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2026-03-03 |