| NPI | 1154950467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.179134) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 335341) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-03-20 |