| NPI | 1528301439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036150157) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125064065) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0060281) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036150157) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-07-22 |