NPI | 1417486556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 70391) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.070461) |
Enumeration Date | 2017-06-11 |
Last Update Date | 2023-07-31 |