| NPI | 1144294414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 17962) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-068788) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-02-17 |