| NPI | 1215036330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036116885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036116885) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A9978) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-03-10 |