| NPI | 1205090743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2011009256) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036121060) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2015-09-10 |