| NPI | 1649466434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A96374) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036122796) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2018-04-11 |