NPI | 1770756215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036.135181) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.135181) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2021-03-16 |