| NPI | 1427768357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036171916) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 01089424A) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036171916) | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2025-03-10 |