| NPI | 1013285758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX R4350) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 54285) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 5315058385) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 54285) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2022-03-02 |