| NPI | 1659373751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036148166) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 43449) |
| 207X00000X Orthopaedic Surgery (Licence: CO 43449) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-04-10 |