| NPI | 1306340872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC RTL23-1217) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125072256) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-08-01 |