| NPI | 1619313723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: RI MD16232) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD16232) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 62522) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2020-07-31 |