| NPI | 1134129216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 10996) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 10996) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 26438) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-04-03 |