NPI | 1700449790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036174522) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036174522) |
207X00000X Orthopaedic Surgery (Licence: PA MD474954) | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2025-04-07 |