| NPI | 1902804685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000615A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 07000616) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-09-14 |