| NPI | 1316213747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 02006331A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2018-02486) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0102203515) | |
| 207X00000X Orthopaedic Surgery (Licence: SC 51875) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2021-09-08 |