| NPI | 1467773689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.128839) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.128839) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125058605) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-12-16 |