| NPI | 1003062514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 125052813) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036132185) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2026-03-03 |