| NPI | 1639598212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 65301) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2019009755) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2019009755) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-04-23 |