| NPI | 1477535912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX M5154) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS9514) |
| 207X00000X Orthopaedic Surgery (Licence: OK 4451) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL OS9514) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: OK 4451) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-07-15 |