| NPI | 1679741151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 125046367) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME101080) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2010-02-08 |