| NPI | 1962908640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U5810) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036164306) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-06-09 |