| NPI | 1871013714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301510211) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125071390) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-06-06 |