| NPI | 1073173290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036170305) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 8602) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-05-22 |