| NPI | 1952480550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J5336) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036077304) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2026-05-28 |