| NPI | 1386783975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI MD-3536) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: HI MD-3536) |
| 209800000X Legal Medicine (Licence: HI MD-3536) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |