| NPI | 1366598963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60088076) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 45319) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD60088076) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60088076) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD60088076) | |
| 208600000X Surgery (Licence: WA MD60088076) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-01-30 |