| NPI | 1174532121 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A67296) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036153611) | 
| Enumeration Date | 2006-08-07 | 
| Last Update Date | 2025-09-08 |