| NPI | 1700148483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036149632) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 51678) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125061122) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KY TP657) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-03-16 |