| NPI | 1174574966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 72492) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-098178) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036-098178) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-06-11 |