| NPI | 1801187653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NC 2020-02654) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2020-02654) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2024-04-24 |