| NPI | 1366550402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 22971) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036055465) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036055465) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2023-12-06 |