| NPI | 1427212091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A10335) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.138643) |
| 174400000X Specialist (Licence: CA 20A10335) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IN 02003718A) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-01-07 |