| NPI | 1235200833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036127437) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 49485-020) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-02-05 |