| NPI | 1013134394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036130220) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A11514) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101016864) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-07-18 |