| NPI | 1922495068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-16583) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61139623) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036.152256) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-10-06 |