| NPI | 1942820956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 103088) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.075570) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 103088) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-02-25 |