| NPI | 1902854102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME84409) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036139327) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL me84409) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-21 |