| NPI | 1831193879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: UT 7383775-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 20153) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WI 20153) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2009-09-04 |