| NPI | 1447248836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME100011) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 213565) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME100011) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 213565) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2019-03-21 |