| NPI | 1003817792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036108422) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036108422) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2025-06-18 |