| NPI | 1235756560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036181452) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351046521) |
| 207X00000X Orthopaedic Surgery (Licence: MA 1023453) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-08-14 |