NPI | 1659325389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036140584) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036140584) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2018-10-31 |