| NPI | 1306285630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AK 147744) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 256520) |
| 207X00000X Orthopaedic Surgery (Licence: AK 147744) | |
| 207X00000X Orthopaedic Surgery (Licence: WV 28244) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-02-28 |