| NPI | 1356559744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX S5186) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX S5186) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301087222) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-12-29 |