| NPI | 1447412788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 30833) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2008015178) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 121194) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-11-12 |