| NPI | 1548478696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 26909) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103229) |
| 207X00000X Orthopaedic Surgery (Licence: OK 26909) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-03-12 |