| NPI | 1356669899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A121573) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.140148) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01076959A) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2017-07-11 |