| NPI | 1558565036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 46015) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 67206) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 67206) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-02-12 |