| NPI | 1710947783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K6449) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX K6449) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX K6449) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX K6449) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-03-17 |