| NPI | 1437248622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101057794) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 22687) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101057794) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WV 22687) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-07-05 |