| NPI | 1952344723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 40154) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150676) |
| 207X00000X Orthopaedic Surgery (Licence: WI 424-320) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-09-28 |