| NPI | 1427031962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MI 5101014239) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101014239) |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MI 5101014239) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-01-13 |