| NPI | 1346236304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036-078399) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036078399) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2013-07-31 |