| NPI | 1588059265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036157300) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036157300) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-03-27 |