| NPI | 1013171636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036.123743) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125051809) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 261302) | |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2012-11-11 |