| NPI | 1487645990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02002167A) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 02002167) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0102203565) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 2017-00062) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 02002167A) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-06-30 |