| NPI | 1396185161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A155908) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036147531) |
| 207X00000X Orthopaedic Surgery (Licence: KY 51891) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-08-21 |