| NPI | 1396827150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: ID M9283) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: ID M9283) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M9283) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-06-17 |