| NPI | 1619184371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: LA MD.202442) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME109014) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME109014) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-09-21 |