| NPI | 1184883571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01078150A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.092334) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01078150A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME106825) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-03-17 |