| NPI | 1669414942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: LA 201245) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M1943) |
| 207X00000X Orthopaedic Surgery (Licence: LA 201245) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-08-18 |