| NPI | 1265757710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60933662) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2015004584) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2015004584) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2019-07-12 |