| NPI | 1194036210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036.132558) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-058032) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA 137416) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-09-06 |