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 | 2024-10-03 |