| NPI | 1174789945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 50133) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-125249) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-06-21 |