| NPI | 1215109673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 54025) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 54025) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101256557) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2026-06-02 |