| NPI | 1679851984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-142731) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA ot014261) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-03-02 |