| NPI | 1841589538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 51390) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME147594) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2016007755) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-03-30 |