| NPI | 1942869482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036.173629) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.150117) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2025-10-10 |