NPI | 1922284603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036120934) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125048185) |
207X00000X Orthopaedic Surgery (Licence: NY 252857) | |
Enumeration Date | 2008-01-13 |
Last Update Date | 2013-01-23 |