| NPI | 1013170232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 52850) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036.134352) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P6324) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-04-21 |