| NPI | 1184673477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MD D62790) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D62790) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2023-02-16 |