| NPI | 1639294952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.118743) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036118743) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 34008196) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-11-30 |