| NPI | 1740692839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.152386) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10050667) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD467045) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2021-05-06 |