| NPI | 1306843446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-111903) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 231357) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-01-08 |