| NPI | 1063606135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01034522A) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: IN 01034522) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2011-11-16 |