| NPI | 1174985048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 125068009) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL K550017894570) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-10-06 |