| NPI | 1699271601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AR E-18183) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-18183) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: UT 13284640-1205) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-09-05 |