| NPI | 1255453544 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 02003175A) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02003175A) | 
| 207X00000X Orthopaedic Surgery (Licence: MI 5101015382) | |
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2018-10-22 |