| NPI | 1578975538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 283355) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301105710) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.148575) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-04-10 |