| NPI | 1639433048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 7262) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2012020210) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-02-28 |