| NPI | 1467449827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD166994) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036105293) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 43003-020) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA L09261R) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-04-27 |