| NPI | 1750732277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101274344) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.068198) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101274344) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-05-20 |