NPI | 1043692585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.157276) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125067483) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 305029) | |
Enumeration Date | 2015-06-21 |
Last Update Date | 2021-09-02 |