| NPI | 1538137724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 295000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036144262) |
| 207X00000X Orthopaedic Surgery (Licence: SC 89674) | |
| 207X00000X Orthopaedic Surgery (Licence: WY 7324A) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-08-15 |