| NPI | 1841272093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME105726) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301067694) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME105726) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-02-22 |