| NPI | 1740692359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.139066) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-147926) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2022-05-19 |