| NPI | 1427444173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 59768) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0065731) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO DR.0065731) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-02-13 |