| NPI | 1508081589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036159553) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301079573) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-04-12 |