| NPI | 1225029655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01060331A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 36132) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IA 36132) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-08-07 |