NPI | 1407084635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036138951) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036138951) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2025-06-18 |