NPI | 1831382639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX S3405) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.125843) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036.125843) | |
Enumeration Date | 2007-08-24 |
Last Update Date | 2024-01-15 |