NPI | 1790134096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036158766) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 267147) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2022-10-13 |