| NPI | 1003903121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN DO1686) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150934) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN DO1686) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN DO0000001686) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2021-01-11 |