| NPI | 1043424732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NM MD2009-0616) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0047869) |
| 207X00000X Orthopaedic Surgery (Licence: NM MD2009-0616) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 47869) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-11-03 |