| NPI | 1760610794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.126739) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125056578) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-12-22 |