| NPI | 1306101092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01079933A)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01079933A)  | 
| Enumeration Date | 2012-07-09 | 
| Last Update Date | 2023-06-13 |