| NPI | 1750561494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NY 249425) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 249425) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2009-10-26 |