| NPI | 1114308608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036169837) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036169837) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01092559A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01092559A) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2024-06-24 |