| NPI | 1922090901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-045536) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 39401-020) |
| 207X00000X Orthopaedic Surgery (Licence: MN 54685) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2014-05-05 |