| NPI | 1083818173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A132353) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-124845) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-10-16 |