NPI | 1154565307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IL 036-138085) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-138085) |
Enumeration Date | 2009-04-30 |
Last Update Date | 2020-12-01 |