| NPI | 1033378872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 12162306-1205) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: UT 12162306-1205) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO DR.0049619) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: CO DR.0049619) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: UT 12162306-1205) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CO DR.0049619) | |
| 207T00000X Neurological Surgery (Licence: CO DR.0049619) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: UT 12162306-1205) | |
| 207X00000X Orthopaedic Surgery (Licence: UT 12162306-1205) | |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0049619) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: UT 12162306-1205) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CO DR.0049619) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-07-02 |