| NPI | 1346451648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.310204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 44263) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57010738) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 256878) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 44263) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-06-17 |