| NPI | 1437565074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 3946) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 26507) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 62) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-09-02 |