| NPI | 1689675274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 31740) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 31740) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AZ 31740) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2011-02-15 |