| NPI | 1902844749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01033579) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 40514) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-12-15 |