| NPI | 1154460152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX N2403) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM 2003-0222) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 41610) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-06-23 |