| NPI | 1508353954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36171395) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61380951) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-12-10 |