| NPI | 1619532553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 64489) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01095552A) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036173525) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01095552A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036173525) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2026-08-05 |