| NPI | 1467715771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D0085607) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2012019668) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0085607) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-06-26 |