| NPI | 1528487436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD474669) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11173500) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036153327) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036153327) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-11-19 |