| NPI | 1386082915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01082691A) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 309624) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017276A) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-11-13 |