| NPI | 1144364696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 49686) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 49686) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 49686) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A120606) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-03-04 |