| NPI | 1376535435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036142261) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2007018575) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-04-13 |