| NPI | 1225001811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036051386) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO MOR5G20) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2012-09-03 |