| NPI | 1659330090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23479) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-070970) |
| 207X00000X Orthopaedic Surgery (Licence: TN 47677) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-11 |