| NPI | 1962481366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME130969) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036097626) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2021-04-08 |