NPI | 1205813813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036097420) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036097420) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2019-05-29 |