| NPI | 1295174753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 19553) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301103221) |
| 207X00000X Orthopaedic Surgery (Licence: MD D85867) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NH 19553) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-11-20 |