| NPI | 1558647180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0071842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022447A) |
| 207X00000X Orthopaedic Surgery (Licence: MN 61786) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01079943A) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2023-10-18 |