| NPI | 1245721612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016006029) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 016006029) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 016006029) | |
| 213E00000X Podiatrist (Licence: IL 016006029) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-12-26 |