| NPI | 1215355862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D89265) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150685) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-08-31 |