| NPI | 1013987536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX N7603) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 24197) |
| 207X00000X Orthopaedic Surgery (Licence: TX N7603) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-06-08 |