NPI | 1043218050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01040355A) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036070990) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2018-11-12 |