| NPI | 1467456137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D0043402) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D43402) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-03-17 |