Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 145413 | FL |
NPI | 1134548019 |
---|---|
Provider Name | Dr. Alexander David Gaukhman |
First Address | Boca Raton, FL 33431-6464 |
Second Address | Boca Raton, FL 33431-6464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 14/07/2020 |