| NPI | 1386832855 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36094691) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 36094691) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2017-02-13 |