| NPI | 1194992297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 57.009200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-125498) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57.009200) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-06-18 |