NPI | 1518115948 |
---|---|
Former Name | JAMAL BOUGHANEM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036120773) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 73259-20) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2023-07-11 |