| NPI | 1730345430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 072430) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL tbd) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-01-10 |