| NPI | 1740328178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: KY 43341) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 43341) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-01-20 |