| NPI | 1942272596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036176883) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02002592a) |
| 207X00000X Orthopaedic Surgery (Licence: OH 34007276m) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-10-03 |