| NPI | 1417071374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 02003901A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016280) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 99047928) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2019-07-20 |