NPI | 1629572359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 67705) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.072495) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2023-08-16 |