| NPI | 1598758880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 13268) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 26379) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 26379) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NV 13268) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-09-28 |