| NPI | 1609868801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01039941A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01039941) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-11-26 |