| NPI | 1710398664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U6046) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.153510) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-02-05 |