| NPI | 1669417416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036157880) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MO 2007018003) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: KS 04-33092) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-08-23 |