| NPI | 1053409060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 26762) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 41542) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2009011512) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 41542) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2009011512) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 0433724) | |
| 207X00000X Orthopaedic Surgery (Licence: KS 0433724) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-03-13 |