| NPI | 1568596328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25ma08568500) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 060607) |
| 207X00000X Orthopaedic Surgery (Licence: PA md427064) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-11-27 |