| NPI | 1376998468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 80875) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 8212) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL DO.2081) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-04-02 |