| NPI | 1750777801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD481944) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01086568A) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-09-22 |