| NPI | 1477548410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 14069) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD0000014069) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2023-03-06 |