| NPI | 1205248713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 148546) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-064668) |
| 207X00000X Orthopaedic Surgery (Licence: CA A161372) | |
| 207X00000X Orthopaedic Surgery (Licence: OR MD212948) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2025-04-11 |