| NPI | 1306075742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01075091A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60440572) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA MD60440572) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IN 01075091A) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-11-03 |