| NPI | 1083601397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN MD20153) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 32402) |
| 207X00000X Orthopaedic Surgery (Licence: KY 32922) | |
| 207X00000X Orthopaedic Surgery (Licence: TN MD20153) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-10-12 |