| NPI | 1467430132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036105513) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IA MD-34355) |
| 207X00000X Orthopaedic Surgery (Licence: IA MD-34355) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G84500) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2026-08-11 |