| NPI | 1689682890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 48921) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 051449) |
| 174400000X Specialist (Licence: AZ 48921) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 48921) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-02-28 |