| NPI | 1558470617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036129925) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2011001615) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036129925) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2011001615) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-11-23 |