| NPI | 1013002625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A36251) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A36251) |
| 207X00000X Orthopaedic Surgery (Licence: CA A36251) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-25 |