| NPI | 1679739221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0050108) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.121061) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-02-25 |