| NPI | 1992196661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1018153) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125074451) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-06-24 |