| NPI | 1124551932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036163782) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 82062-20) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-06-14 |