| NPI | 1790134096 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036158766) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 267147) | 
| Enumeration Date | 2016-06-07 | 
| Last Update Date | 2022-10-13 |