| NPI | 1982083887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-157626) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A168620) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-08-12 |