| NPI | 1063091932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036177747) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036177747) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-02-18 |