| NPI | 1730292400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-093362) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 57247-20) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-11-13 |