| NPI | 1881905008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101260100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125058439) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-10-22 |