| NPI | 1164917332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO DR.0070711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0070711) |
| 207X00000X Orthopaedic Surgery (Licence: CA A161516) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-08-28 |