| NPI | 1619942927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: ID M-13353) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-13353) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD 60088438) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD600088438) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-08-22 |