| NPI | 1750761003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 11729408-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125066496) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2022-05-09 |