| NPI | 1609041953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: IL 036128715) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.128715) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-05-04 |