| NPI | 1730539396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T9094) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BPI100556454) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX T9094) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-05-09 |