| NPI | 1306969738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 6022) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02003657) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101016235) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OK 6022) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 5101016235) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-12-09 |