| NPI | 1013235423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: ID M-13346) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q2445) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX Q2445) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2022-08-23 |