| NPI | 1619957180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036153493) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 31847) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-01-27 |