| NPI | 1841583259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 62860) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-059199) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-10-05 |