| NPI | 1235545971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036150728) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2014022165) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101023734) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2021-03-31 |