| NPI | 1134387293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A87788) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 238120) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 238120) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 237490) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-01-15 |