NPI | 1902801871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036154971) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX E-6674) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2025-03-10 |