NPI | 1003863077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036-110068) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036110068) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-12-20 |