| NPI | 1376506824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 35.072606) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036107556) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036107556) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-06-08 |