| NPI | 1376768879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301087844) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-130427) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2016-08-12 |