| NPI | 1205924784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G168800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60413108) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60413108) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2026-02-09 |