| NPI | 1366882227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2021043060) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036145861) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-02-02 |