| NPI | 1699903765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q5793) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301094182) |
| 207X00000X Orthopaedic Surgery (Licence: MN 57543) | |
| 207X00000X Orthopaedic Surgery (Licence: TX Q5793) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-11-09 |