| NPI | 1770557811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IL 036-120879) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 214314) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-08-03 |