| NPI | 1295155927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 04720) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD H86826) |
| 207X00000X Orthopaedic Surgery (Licence: KY 04720) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-07-14 |