| NPI | 1780744623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036170051) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD425814) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036170051) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-06-10 |