| NPI | 1366503278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0066348) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN6057) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036121600) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-07 |