| NPI | 1144251851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-2235) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-097196) |
| 207X00000X Orthopaedic Surgery (Licence: CA C52683) | |
| 207X00000X Orthopaedic Surgery (Licence: NV 12161) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-12-14 |