| NPI | 1780976902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A122720) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036160959) |
| 207X00000X Orthopaedic Surgery (Licence: CA A122720) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036160959) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2025-09-30 |