NPI | 1639294952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.118743) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036118743) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 34008196) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-11-30 |