NPI | 1043849102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.173400) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301507359) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-07-08 |