| NPI | 1033600044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX U2294) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 009141) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-06-20 |