| NPI | 1619998317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 60046) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 064444) |
| 207X00000X Orthopaedic Surgery (Licence: WI 60046) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 064444) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-05-24 |