| NPI | 1710100045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX U1474) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A122470) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA MD60635856) | |
| 207X00000X Orthopaedic Surgery (Licence: TX U1474) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-05-29 |