| NPI | 1881126902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 58023) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO DR.0068029) |
| 207X00000X Orthopaedic Surgery (Licence: KY R4608) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-04-05 |