| NPI | 1518186857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0052923) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036128109) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036128109) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-02-03 |