| NPI | 1316977333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036115913) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M6474) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M6474) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-01-13 |