| NPI | 1427316132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q9920) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10043277) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2018-08-09 |