| NPI | 1134120447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2004002148) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.117297) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-02-20 |