| NPI | 1912911488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD458782) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 108654) |
| 207X00000X Orthopaedic Surgery (Licence: MO 108654) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-30 |