| NPI | 1669462404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 46332) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036109086) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-09-24 |