| NPI | 1902892607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: IL 036079986) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036079986) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-03-13 |