| NPI | 1265612279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 8951192-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01061543A) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-04-01 |