| NPI | 1003098351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101251301) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 255689) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: DC MD042613) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-01-09 |