| NPI | 1992077887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036149060) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 937805) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 36149060) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-01-26 |