| NPI | 1841639317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 7858) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 7858) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA OP60828397) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-07-26 |