| NPI | 1205990843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036116081) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 37086) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036116081) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA 37086) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-03-18 |