| NPI | 1922260538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 65646) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q6732) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q6732) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-01-09 |