| NPI | 1962477562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01058653A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 45761) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2026-02-24 |