| NPI | 1518305457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036152316) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-063132) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-10-07 |