| NPI | 1740273747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36058076) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 36058076) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2021-04-28 |