| NPI | 1205093689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MN 60396) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IN 01066852A) |
| 207X00000X Orthopaedic Surgery (Licence: TX P0345) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01066852A) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-08-25 |