| NPI | 1487918439 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX T3166) | 
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D85787) | 
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: DC MD046448) | |
| Enumeration Date | 2012-06-25 | 
| Last Update Date | 2025-06-24 |