| NPI | 1669476081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD073263L) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 232814) |
| 207X00000X Orthopaedic Surgery (Licence: NY 232814) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD073263L) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-11-24 |