| NPI | 1063669471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P4162) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125050811) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2025-07-30 |