| NPI | 1740433820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01069569A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-115443) |
| 207X00000X Orthopaedic Surgery (Licence: OK 26833) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX N0175) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-11-27 |