| NPI | 1477765014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 58038) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-117892) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-06-29 |