| NPI | 1881982437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PR 18913) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 61444) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2019-07-17 |