| NPI | 1902243934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.148587) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A131955) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01081632A) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-05-26 |