| NPI | 1770570921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 41102) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 41102) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 41102) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2023-08-11 |