| NPI | 1871608497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 32761) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036099926) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-07-05 |