| NPI | 1265697536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 36638) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 069041) |
| 207X00000X Orthopaedic Surgery (Licence: SC 36638) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2021-05-06 |