| NPI | 1295364461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA13205400) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036.173134) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-08-12 |