| NPI | 1285900118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 78296) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150913) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2026-05-06 |