| NPI | 1679968812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-154989) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 73696) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-08-03 |