| NPI | 1871755892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 72390) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: IL 125-954157) |
| 208600000X Surgery (Licence: IL 125054157) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-03-17 |