| NPI | 1669639613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 42706) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125047485) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 42706) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2019-07-30 |