| NPI | 1063644854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036137806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT195527) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2015-07-23 |