| NPI | 1154697878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IL 036-144953) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH LT4191) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036-144953) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-03-19 |