| NPI | 1336376367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 201328430) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01075358B) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IN 201328430) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-06-10 |