| NPI | 1922460518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NE 34051) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 68785) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-08-16 |