| NPI | 1962517656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.131162) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008529) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-02-27 |