| NPI | 1386818474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 269632) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-135794) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2017-01-23 |