| NPI | 1689692196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX U1913) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 010508151A) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: IN 010508151A) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-21 |