| NPI | 1952531022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 52024) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 58864) |
| 207X00000X Orthopaedic Surgery (Licence: CA A130744) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2017-05-10 |