NPI | 1891776068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-121694) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101013131) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2019-01-07 |