| NPI | 1770585911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01062121A) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A91405) | 
| 207X00000X Orthopaedic Surgery (Licence: IN 01062121A) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01062121A) | |
| Enumeration Date | 2005-06-01 | 
| Last Update Date | 2023-06-08 |