| NPI | 1609056647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 43049) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: AZ 43049) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 43049) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2020-04-14 |