| NPI | 1619240595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-151986) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A15237) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2020-11-11 |