| NPI | 1992948186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: PA MD461322) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125054632) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2024-04-29 |