| NPI | 1174056907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX U5390) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036159742) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01087841A) | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2023-07-31 |