| NPI | 1336254523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M8579) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD060649L) |
| 207X00000X Orthopaedic Surgery (Licence: TX M8579) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-08-10 |