| NPI | 1194216952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101281871) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 009939) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A185704) | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2024-09-19 |