| NPI | 1841429453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MN 109016) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01073563A) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2022-07-21 |