| NPI | 1881727139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 29038) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2011-00736) |
| 207X00000X Orthopaedic Surgery (Licence: SC LL 29038) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-07-20 |