| NPI | 1215563283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.178366) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01099134A) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.178366) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A179921) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01099134A) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2026-05-08 |