| NPI | 1861663270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.119631) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 239413) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2013-02-20 |