| NPI | 1760571822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0034636) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD17115) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101058513) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MD D0034636) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: VA 0101058513) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: DC MD17115) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MD D0034636) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: VA 0101058513) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: DC MD17115) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-03-24 |