| NPI | 1811075856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036125628) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN7762) |
| 207X00000X Orthopaedic Surgery (Licence: IA 38994) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-12-06 |