| NPI | 1043521768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD456955) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.058294) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0088716) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2026-04-23 |