| NPI | 1760864995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036156460) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY R3829) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-10-15 |