| NPI | 1033396908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME105276) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 000894) |
| 207X00000X Orthopaedic Surgery (Licence: CA A103280) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME 105276) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2018-10-29 |