| NPI | 1326333147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A149259) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD457557) |
| 207X00000X Orthopaedic Surgery (Licence: NE 6501) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD457557) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-07-21 |