| NPI | 1851646566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A147674) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.061286) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-05-27 |