| NPI | 1386847283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036133397) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2012-00802) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-12-27 |