| NPI | 1114183936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD459577) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 5240394-5343) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: GA 66720) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MD D0076153) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: DE C1-0011287) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-07-21 |