| NPI | 1043433774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60005618) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036117745) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-01-27 |