| NPI | 1609883297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KS 04-39687) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-051877) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-02-14 |