| NPI | 1942413018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA C201392) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036125527) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036125527) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-10-02 |