| NPI | 1760696389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: IA 37826) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 37826) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-10-16 |