| NPI | 1467645390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036.141233) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2011-01628) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01071909A) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2019-04-17 |