| NPI | 1467772392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 57942) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301096380) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME153991) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A135084) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101259513) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 35-146823) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096380) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-06-10 |