| NPI | 1144270497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 18273) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01075636A) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A80049) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-05-25 |