| NPI | 1962928267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD489800) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01099043A) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036178592) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01099043A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036178592) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2026-06-09 |