| NPI | 1881609394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: OR MD25590) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD25590) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-08-27 |