| NPI | 1235107202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-55904) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036112730) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-55904) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-11-05 |