| NPI | 1649512732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036150554) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 276618) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-08-29 |