NPI | 1417453234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AR E-16463) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MS 31406) |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 67994) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-07-02 |