| NPI | 1902225386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD212801) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 53703) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 53703) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60941867) | |
| 207X00000X Orthopaedic Surgery (Licence: OR MD212801) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-09-11 |