NPI | 1689086266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036153368) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 125.073482) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-29 |
Last Update Date | 2021-01-29 |