| NPI | 1386037943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 24400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125070296) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2023-09-19 |