| NPI | 1811925381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 45567-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 45567-020) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-11-06 |