| NPI | 1235426610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.168642) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 289302) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-06-10 |