| NPI | 1376622936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: IN 01026507) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IN 01026507) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-04-15 |