| NPI | 1336396225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301104332) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125053349) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-07-21 |