| NPI | 1003802810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: IL 036065505) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036065505) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-01-22 |