| NPI | 1750369419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036093095) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 28464) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-03-18 |