| NPI | 1609844216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101042908) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101042908) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101042908) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-04-17 |