| NPI | 1497891717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 38923) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 2014-00912) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 2014-00912) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2013009353) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-03-07 |