| NPI | 1689848897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2013-00980) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-132925) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2014-05-14 |