| NPI | 1619941945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 253702-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 36109890) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-10-14 |