| NPI | 1831586866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NE 34890) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036155465) |
| 207X00000X Orthopaedic Surgery (Licence: NE 34890) | |
| 207X00000X Orthopaedic Surgery (Licence: IA MD-50230) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036155465) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IA MD-50230) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-04-01 |