| NPI | 1831393628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 009842) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036125816) |
| 207X00000X Orthopaedic Surgery (Licence: WI 67061) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-10-09 |