| NPI | 1174519219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036094833) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036094833) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-12-08 |