| NPI | 1235450008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301110856) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-057809) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 4301110856) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-04-09 |