| NPI | 1871531749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 336075428) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 51730-021) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-10-12 |