| NPI | 1619181120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036.117808) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.117808) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2017-05-23 |