| NPI | 1073757720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 2015-01293) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2015-01293) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2023-08-01 |