| NPI | 1821077736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036070386) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IN 01079047A) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-09-18 |