| NPI | 1003071010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NJ 25MA08665500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08665500) |
| 207X00000X Orthopaedic Surgery (Licence: NY 308177) | |
| 207X00000X Orthopaedic Surgery (Licence: TX BP10016967) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: PA MD437115) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2022-08-02 |