| NPI | 1306251806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: UT 11268150-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125065467) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-06-10 |