| NPI | 1881757490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 63147) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 63147) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01065582A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 63147) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-11-20 |