| NPI | 1548498454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 43786) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 238499) |
| 207X00000X Orthopaedic Surgery (Licence: CA C145666) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY TP298) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-05-22 |