| NPI | 1417486556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 70391) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.070461) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2023-07-31 |