| NPI | 1902034283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: SC 38404) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125056981) |
| 207X00000X Orthopaedic Surgery (Licence: SC 38404) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-07-01 |