| NPI | 1124461322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20041) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 1124461322) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-11-14 |