| NPI | 1114911377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036049846) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036049846) |
| 207X00000X Orthopaedic Surgery (Licence: IL 36049846) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2022-08-01 |