| NPI | 1811144561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A116163) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-050000) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2017-04-07 |