| NPI | 1972028421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036165587) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 5665) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2022018519) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2022018519) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 5665) | |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2023-09-12 |