NPI | 1962908640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U5810) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036164306) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-03-20 |