| NPI | 1841819091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036181530) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.076153) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-09-18 |