| NPI | 1861990731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2017035183) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036157163) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-07-18 |