| NPI | 1598969222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD27782) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 7873842-1205) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-10-05 |