| NPI | 1689654345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX P1302) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: KY 42090) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TN 45264) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-01-09 |