| NPI | 1396856894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A111850) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A111850) |
| 207X00000X Orthopaedic Surgery (Licence: DE C1-0009832) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-04-04 |