| NPI | 1720308380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-135891) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A126157) |
| 207X00000X Orthopaedic Surgery (Licence: MI bs9426277-7905) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-07-21 |