| NPI | 1740337930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 40767) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01075275A) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 40767) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01075275A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01075275A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KY 40767) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-05-14 |