| NPI | 1306070479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX P9499) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P9499) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-01-31 |