| NPI | 1346464740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD482895) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD482895) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D74237) | |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101251954) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D74237) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101251954) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-04-16 |