| NPI | 1528249489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD439809) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD439809) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 42566) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-12-20 |