| NPI | 1477966216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101279966) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125064864) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KY TP448) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-01-10 |