NPI | 1891773925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036102055) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036102055) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2020-04-13 |