NPI | 1093071268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 57964) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.35895) |
207X00000X Orthopaedic Surgery (Licence: TN 57964) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-02 |
Last Update Date | 2022-06-02 |