| NPI | 1942616339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0072180) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 87149) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO DR.0072180) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 2014022414) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-01-08 |