| NPI | 1578877619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-131245) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC RTL165439) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD P2622) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2012-10-12 |