| NPI | 1932154507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 11356) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036102872) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-02-23 |