| NPI | 1497700835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CO 32307) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 32307) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CO 32307) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO 32307) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-05-22 |