| NPI | 1437546934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ R74907) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX T7655) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX T7655) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A172400) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-04-14 |