| NPI | 1255591491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036123920) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME105006) |
| 207X00000X Orthopaedic Surgery (Licence: GA 060734) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2010-03-03 |