| NPI | 1427284512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 38853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.121125) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2020-07-02 |