| NPI | 1982044954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 31850) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-46540) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD464144) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NE 31850) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IA MD-46540) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2024-11-04 |