| NPI | 1467743682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO CDR.0002960) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60995376) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 54240) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 54240) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA MD60995376) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-10-27 |