| NPI | 1972066355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.154520) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036171073) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-08-22 |