| NPI | 1447408729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N8692) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-048937) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2019-08-09 |