| NPI | 1780630574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 24839) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 97-00936) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC TL24839) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-11-22 |