| NPI | 1952807422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036172561) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MDR-7527) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-11-01 |