| NPI | 1942513239 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2012025714) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.056020) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: KS 04-44780) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY P76751) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 04-44780) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: KS 04-44780) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-05-16 |