| NPI | 1154577146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2014-0781) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125051410) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2017-03-24 |