| NPI | 1942290341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME138358) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036151637) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0044643) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO 44643) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-12-30 |