| NPI | 1174501829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036113720) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 36130) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 31297) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-01-06 |