| NPI | 1043298276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 33070) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036100798) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2026-03-05 |