| NPI | 1013222660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 049572) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.124953) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 049572) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036.124953) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2022-07-11 |