| NPI | 1447251871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 36316) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 36316) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 36316) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-03-28 |