| NPI | 1811376437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036156970) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.139179) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125067470) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2021-08-16 |