| NPI | 1447263694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01087328A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME96452) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MS 24068) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.207745) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-03-11 |