| NPI | 1598923609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2011-01208) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036125613) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2012-08-27 |