| NPI | 1619172947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 43615) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036143518) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35127665) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 43615) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01067795A) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-04-05 |