| NPI | 1922284603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036120934) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125048185) |
| 207X00000X Orthopaedic Surgery (Licence: NY 252857) | |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2013-01-23 |