| NPI | 1356579684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036138387) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-07207) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-01-06 |