| NPI | 1134650989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D98199) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 1134650989) |
| 207X00000X Orthopaedic Surgery (Licence: CA A176139) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-10-05 |