| NPI | 1093765844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036073346) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 3534-320) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-03-06 |