| NPI | 1396915690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: HI MD-15248) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A90738) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-12-15 |