| NPI | 1982022281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A162711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125065150) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-01-17 |