| NPI | 1932157732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AK 124739) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 124739) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA MD00048415) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WA MD00048415) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AK 124739) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-08-10 |