| NPI | 1710246905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 16942) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036147319) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO DR.0058605) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-06-24 |