| NPI | 1407884141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: ID M-14996) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036.130790) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-02-06 |