| NPI | 1609137504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2022-1319) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60738147) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NM MD2022-1319) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-08-25 |