| NPI | 1952564536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NM MD2021-0255) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-236888) |
| 207X00000X Orthopaedic Surgery (Licence: NY P74826) | |
| 207X00000X Orthopaedic Surgery (Licence: SC 33462) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 33462) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-11-22 |