| NPI | 1053579615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IN 01080132A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301104569) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01080132A) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301104569) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-05-17 |