| NPI | 1922124619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036128232) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2005018191) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036128232) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2026-08-04 |