| NPI | 1831199983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL OS9841) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS011940) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-02-28 |