| NPI | 1366947350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD484284) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD484284) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD61439440) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-06-25 |