| NPI | 1134346166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 4177) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA OP60137692) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101016646) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IA 4177) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036.127232) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.127232) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-08-18 |