| NPI | 1366618530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 46965) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 45372) |
| 208D00000X General Practice (Licence: KY 45372) | |
| 207X00000X Orthopaedic Surgery (Licence: NY Pending) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 46965) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-02-02 |