| NPI | 1861441198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E0329) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AR E0329) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: AR E-0329) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AR E-0329) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2026-03-03 |