| NPI | 1396208294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036173917) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036173917) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-08-05 |