| NPI | 1477971679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: IL 036149025) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036149025) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301105126) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-06-23 |