| NPI | 1770816134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD453523) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125055851) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09625300) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD453523) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09625300) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-02-28 |