| NPI | 1003470295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036174858) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036174858) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01096132A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01096132A) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-07-09 |