| NPI | 1669443552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301061724) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 4301061724) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MI 4301061724) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-02-21 |