| NPI | 1669950754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01081822A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2017041413) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-06-07 |