| NPI | 1346867843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69718) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30745) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036173416) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01095263A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036173416) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01095263A) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-01-30 |