| NPI | 1114184389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD439972) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 241823) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09124800) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME152855) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-02-22 |