| NPI | 1356388045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 87922) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 40322) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 87922) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 40322) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-09-08 |