| NPI | 1174865208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036150154) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0060013) |
| 207X00000X Orthopaedic Surgery (Licence: WA ML60359487) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-08-23 |