| NPI | 1174055560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 68531) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125070434) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-07-26 |