NPI | 1902243934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.148587) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A131955) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01081632A) | |
Enumeration Date | 2013-05-31 |
Last Update Date | 2020-05-26 |