| NPI | 1740297712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K8454) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM 2001-88) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX K8454) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NM 2001-88) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-01-04 |