NPI | 1740804764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036173092) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125076387) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2025-05-13 |