| NPI | 1326492323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036169576) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01093251A) |
| 207X00000X Orthopaedic Surgery (Licence: WA 61169207) | |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2025-09-19 |