| NPI | 1700847399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 020540) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 34112) |
| 207X00000X Orthopaedic Surgery (Licence: GA 020540) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 34112) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 34412) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-04-03 |