| NPI | 1255438735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 100675-875) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 50400) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036129981) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2026-02-17 |