| NPI | 1568534147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036-086139) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036086139) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-08-08 |