| NPI | 1073173290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX V9118) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01093831A) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036170305) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01093831A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036170305) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-09-15 |