| NPI | 1801061908 |
|---|---|
| Former Name | MUFADDAL MUSTAFA GOMBERAWALLA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q4118) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q4118) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-09-23 |