| NPI | 1538195995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036115472) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036115472) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2021-01-18 |