| NPI | 1154367944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01051027A) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01051027A) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: IN 01051027A) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-10-07 |