| NPI | 1639344351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0067679) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-134196) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-06-06 |