| NPI | 1437413960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036-146314) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 146877) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT201320) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-07-21 |