| NPI | 1457515033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036127694) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125055343) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-06-07 |