| NPI | 1679884068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02004802A) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101018805) | 
| 207X00000X Orthopaedic Surgery (Licence: CA 20A14021) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 02004802A) | |
| Enumeration Date | 2010-06-30 | 
| Last Update Date | 2018-10-23 |