| NPI | 1952539603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MI 5101018118) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: IL 036135656) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101018118) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-06-28 |