| NPI | 1417063389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-066460) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-066460) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-04-30 |