| NPI | 1598986689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 04-35526) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2010010946) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-12-30 |