| NPI | 1891286159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD214733) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R76649) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-07-06 |