| NPI | 1972139954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.152978) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.075537) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-07-27 |