| NPI | 1407812399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A93297) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q0352) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q0352) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A93297) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-05-11 |