| NPI | 1265410856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036098447) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 36159) |
| 207X00000X Orthopaedic Surgery (Licence: NY 220756-1) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2014-02-13 |