| NPI | 1316103971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036128546) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036128546) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 125-052058) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-08-03 |