| NPI | 1578567384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 04-13939) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-13939) |
| 207X00000X Orthopaedic Surgery (Licence: MO R7372) | |
| 207X00000X Orthopaedic Surgery (Licence: CO 38333) | |
| 207X00000X Orthopaedic Surgery (Licence: CA C32504) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2012-02-27 |