| NPI | 1902801871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036154971) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX E-6674) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2025-03-10 |