| NPI | 1932365251 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 59580)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036136700)  | 
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036136700)  | |
| Enumeration Date | 2008-08-06 | 
| Last Update Date | 2020-07-08 |