| NPI | 1285082248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.165959) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.068818) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0066447) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 291082) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-10-10 |