| NPI | 1093859548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 72150-020) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-139509) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2021-11-22 |