| NPI | 1427325034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL 178006) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150562) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2026-05-26 |