NPI | 1396292348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2023005416) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036177324) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2025-09-29 |