NPI | 1386080802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036150470) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036150470) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2024-11-06 |