| NPI | 1285620732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000510A) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IN 07000510A) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2011-01-20 |