| NPI | 1972861680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TN 57515) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01078424A) |
| 207X00000X Orthopaedic Surgery (Licence: KY R3113) | |
| 207X00000X Orthopaedic Surgery (Licence: TN 57515) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: IN 01078424A) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2023-10-13 |