| NPI | 1790311793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036173105) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01095668A) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036173105) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01095668A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-07-18 |