| NPI | 1174532121 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| 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 | 2025-02-18 |