| NPI | 1861954133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036168247) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-05-17 |