| NPI | 1578858858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 18725) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036143310) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0056702) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-07-22 |