| NPI | 1306363536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.178553) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.077641) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2026-06-16 |