| NPI | 1053702522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 04-47575) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.069934) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2023012027) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: UT 12762280-1205) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-09-07 |