| NPI | 1447645858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2021-01260) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125066898) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-08-16 |