| NPI | 1619953791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NV 6342) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G46682) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AK 4875) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 6342) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2017-02-28 |