NPI | 1114913910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036085872) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036085872) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2023-08-09 |